Implementation of dedicated social worker coaching for emergency medicine residents ‐ Lessons learned
Abstract Emergency medicine training is associated with high levels of stress and burnout, which were exacerbated by the COVID‐19 pandemic. The pandemic further exposed a mismatch between trainees' mental health needs and timely support services; therefore, the objective of our innovation was t...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-06-01
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| Series: | Journal of the American College of Emergency Physicians Open |
| Online Access: | https://doi.org/10.1002/emp2.12971 |
| _version_ | 1797795172895948800 |
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| author | Jennie A. Buchanan Sarah Meadows Jason Whitehead W. Gannon Sungar Christy Angerhofer Abraham Nussbaum Barbara Blok Todd Guth Katherine Bakes Malorie Millner Lavonne Salazar Megan Stephens Bonnie Kaplan |
| author_facet | Jennie A. Buchanan Sarah Meadows Jason Whitehead W. Gannon Sungar Christy Angerhofer Abraham Nussbaum Barbara Blok Todd Guth Katherine Bakes Malorie Millner Lavonne Salazar Megan Stephens Bonnie Kaplan |
| author_sort | Jennie A. Buchanan |
| collection | DOAJ |
| description | Abstract Emergency medicine training is associated with high levels of stress and burnout, which were exacerbated by the COVID‐19 pandemic. The pandemic further exposed a mismatch between trainees' mental health needs and timely support services; therefore, the objective of our innovation was to create an opportunity for residents to access a social worker who could provide consistent coaching. The residency leadership team partnered with our graduate medical education (GME) office to identify a clinical social worker and professionally‐trained coach to lead sessions. The project was budgeted at an initial cost of $15,000 over 1 year. Residents participated in 49 group and 73 individual sessions. Post implementation in 2021, we compared this intervention to all other wellness initiatives. Resident response rate was 80.88% (n = 55/68) and median interquartile range (IQR) score of the initiative was 2 (1 = detrimental and 4 = beneficial) versus 3.79 (3.69–3.88) the median IQR of all wellness initiatives. A notable number, 22%, rated the program as detrimental, which could be related to summary comments regarding ability to attend sessions, lack of session structure, loss of personal/educational time, and capacity of the social worker to relate with them. Summary comments also revealed the innovation was useful, with individual sessions preferred to group sessions. Application of a social worker coaching program in an emergency medicine residency program appears to be a feasible novel intervention. Lessons learned after implementation include the importance of recruiting someone with emergency department/GME experience, orienting them to culture before implementation and framing coaching as an integrated residency resource. |
| first_indexed | 2024-03-13T03:14:57Z |
| format | Article |
| id | doaj.art-558dd8721c05474fad79f4e153ee07c8 |
| institution | Directory Open Access Journal |
| issn | 2688-1152 |
| language | English |
| last_indexed | 2024-03-13T03:14:57Z |
| publishDate | 2023-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American College of Emergency Physicians Open |
| spelling | doaj.art-558dd8721c05474fad79f4e153ee07c82023-06-26T04:54:29ZengWileyJournal of the American College of Emergency Physicians Open2688-11522023-06-0143n/an/a10.1002/emp2.12971Implementation of dedicated social worker coaching for emergency medicine residents ‐ Lessons learnedJennie A. Buchanan0Sarah Meadows1Jason Whitehead2W. Gannon Sungar3Christy Angerhofer4Abraham Nussbaum5Barbara Blok6Todd Guth7Katherine Bakes8Malorie Millner9Lavonne Salazar10Megan Stephens11Bonnie Kaplan12Department of Emergency Medicine & Office of Graduate Medical Education Denver Denver Health & Hospital Authority Denver Colorado USADepartment of Emergency Medicine & Office of Graduate Medical Education Denver Denver Health & Hospital Authority Denver Colorado USADepartment of Emergency Medicine & Office of Graduate Medical Education Denver Denver Health & Hospital Authority Denver Colorado USADepartment of Emergency Medicine & Office of Graduate Medical Education Denver Denver Health & Hospital Authority Denver Colorado USAHealth Equity in Action Program Manager & Service Learning Administrator Vice Chancellors Office for DEI & Community Engagement Aurora University of Colorado Denver Colorado USADepartment of Emergency Medicine & Office of Graduate Medical Education Denver Denver Health & Hospital Authority Denver Colorado USADepartment of Emergency Medicine Aurora University of Colorado Denver Colorado USADepartment of Emergency Medicine Aurora University of Colorado Denver Colorado USADepartment of Emergency Medicine Aurora Veterans Administration Aurora Colorado USADepartment of Family Medicine Denver Saint Joseph Medical Center Denver Colorado USADepartment of Emergency Medicine & Office of Graduate Medical Education Denver Denver Health & Hospital Authority Denver Colorado USADepartment of Emergency Medicine & Office of Graduate Medical Education Denver Denver Health & Hospital Authority Denver Colorado USADepartment of Emergency Medicine & Office of Graduate Medical Education Denver Denver Health & Hospital Authority Denver Colorado USAAbstract Emergency medicine training is associated with high levels of stress and burnout, which were exacerbated by the COVID‐19 pandemic. The pandemic further exposed a mismatch between trainees' mental health needs and timely support services; therefore, the objective of our innovation was to create an opportunity for residents to access a social worker who could provide consistent coaching. The residency leadership team partnered with our graduate medical education (GME) office to identify a clinical social worker and professionally‐trained coach to lead sessions. The project was budgeted at an initial cost of $15,000 over 1 year. Residents participated in 49 group and 73 individual sessions. Post implementation in 2021, we compared this intervention to all other wellness initiatives. Resident response rate was 80.88% (n = 55/68) and median interquartile range (IQR) score of the initiative was 2 (1 = detrimental and 4 = beneficial) versus 3.79 (3.69–3.88) the median IQR of all wellness initiatives. A notable number, 22%, rated the program as detrimental, which could be related to summary comments regarding ability to attend sessions, lack of session structure, loss of personal/educational time, and capacity of the social worker to relate with them. Summary comments also revealed the innovation was useful, with individual sessions preferred to group sessions. Application of a social worker coaching program in an emergency medicine residency program appears to be a feasible novel intervention. Lessons learned after implementation include the importance of recruiting someone with emergency department/GME experience, orienting them to culture before implementation and framing coaching as an integrated residency resource.https://doi.org/10.1002/emp2.12971 |
| spellingShingle | Jennie A. Buchanan Sarah Meadows Jason Whitehead W. Gannon Sungar Christy Angerhofer Abraham Nussbaum Barbara Blok Todd Guth Katherine Bakes Malorie Millner Lavonne Salazar Megan Stephens Bonnie Kaplan Implementation of dedicated social worker coaching for emergency medicine residents ‐ Lessons learned Journal of the American College of Emergency Physicians Open |
| title | Implementation of dedicated social worker coaching for emergency medicine residents ‐ Lessons learned |
| title_full | Implementation of dedicated social worker coaching for emergency medicine residents ‐ Lessons learned |
| title_fullStr | Implementation of dedicated social worker coaching for emergency medicine residents ‐ Lessons learned |
| title_full_unstemmed | Implementation of dedicated social worker coaching for emergency medicine residents ‐ Lessons learned |
| title_short | Implementation of dedicated social worker coaching for emergency medicine residents ‐ Lessons learned |
| title_sort | implementation of dedicated social worker coaching for emergency medicine residents lessons learned |
| url | https://doi.org/10.1002/emp2.12971 |
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